NPI | 1902914989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038-006687) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IL 038-006687) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2019-07-18 |